MEDICARE: JULIE KAYE CURTIS P A C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1002	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912998857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KAYE CURTIS P A C

Provider Business Mailing Address
First Line	:	720 W 71ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74132-1825
Country	:	US
Telephone Number	:	918-760-0700
Fax Number	:	580-226-0820

Provider Business Practice Location Address
First Line	:	720 W 71ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74132-1825
Country	:	US
Telephone Number	:	918-760-0700
Fax Number	:	580-226-0820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	08/27/2024

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